Presentation

Patient Data

Day 1

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Axial C+ portal venous phase

Complex right lobe of liver laceration without contrast blush (no active bleeding or pseudoaneurym) but with moderate haemoperitoneum in all four quadrants and sentinel clot. Right adrenal haemorrhage and right perirenal haematoma are also present. Bilateral rib fractures. Bilateral chest tubes with trace to small volume pneumothorax. Left lumbar transverse process fractures. Right sacral alar fracture. Right superior and inferior pubic rami fractures. No large extra-peritoenal pelvic haematoma.